Organization Active NPI

Advance Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Desoto, TX
National Provider Identifier
1447367677
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCE MEDICAL SERVICES
Practice address
628 E Centre Park Blvd
Desoto, TX 75115-2499
Phone
(972) 458-8393
Fax
(972) 458-8304
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ken Gossip
Title
Pres
Phone
(972) 458-8393

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

628 E Centre Park Blvd
Desoto, TX 75115-2499

Mailing address

628 E Centre Park Blvd
Desoto, TX 75115-2499
Phone (972) 458-8393

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advance Medical Services628 E Centre Park Blvd, Desoto, TX 75115-2499(972) 458-8393 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard … Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

628 E Centre Park Blvd
Desoto, TX 75115
Phone (972) 458-8393

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1447367677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 E CENTRE PARK BLVD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152499",
            "telephone_number": "972-458-8393",
            "fax_number": "972-458-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E CENTRE PARK BLVD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152499",
            "telephone_number": "972-458-8393",
            "fax_number": "972-458-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "GOSSIP",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "972-458-8393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.